Erickson/aamodt Orthodontics Pa | |
7493 147th St W Suite 202 Apple Valley MN 55124-4505 | |
(952) 431-1111 | |
(952) 997-2538 |
Full Name | Erickson/aamodt Orthodontics Pa |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 7493 147th St W, Apple Valley, Minnesota |
Authorized Official Name and Position | Keith Robert Erickson (PRESIDENT) |
Authorized Official Contact | 9524311111 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Erickson/aamodt Orthodontics Pa 7493 147th St W Suite 202 Apple Valley MN 55124-4505 Ph: (952) 431-1111 | Erickson/aamodt Orthodontics Pa 7493 147th St W Suite 202 Apple Valley MN 55124-4505 Ph: (952) 431-1111 |
NPI Number | 1528226156 |
---|---|
Provider Enumeration Date | 05/30/2008 |
Last Update Date | 05/30/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528226156 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | D9558 (Minnesota) | Primary |
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